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Satisfaction with facial profile aesthetics: are norms overrated?

Published:September 05, 2017DOI:https://doi.org/10.1016/j.ijom.2017.07.024

      Abstract

      This study aimed to explore to what extent adults perceive deviations from the norm of a balanced profile with normal occlusion as reducing satisfaction with facial appearance and having a psychosocial impact. This cross-sectional study included 225 Caucasian subjects (64% women) aged 18–42 years. Their facial profiles were analyzed photogrammetrically and they were classified into three categories: within, below, or above the standard range for the Croatian population with a normal occlusion. Psychosocial issues were assessed by self-reported satisfaction with facial appearance and domains from the Orthognathic Quality of Life Questionnaire: social aspects of dentofacial aesthetics (SA), facial aesthetics concern (FA), and awareness of dentofacial aesthetics (AW). Men with a concave profile were less satisfied with their faces than those with a flat or convex profile (P< 0.05). A reduced upper lip height in men resulted in a lower level of satisfaction and increased FA score, when compared to men with a normal or increased upper lip height (P< 0.05). In women, a reduced middle third of the face increased AW (P = 0.045). Deviations from a well-balanced facial profile, as well as the morphology of the nose and lip, do not increase psychosocial issues to a great extent. The range of acceptable facial characteristics is evidently much broader than the norms.

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      References

        • Arnett G.W.
        • Bergman R.T.
        Facial keys to orthodontic diagnosis and treatment planning—part II.
        Am J Orthod Dentofacial Orthop. 1993; 103: 299-312
        • Nanda R.
        Biomechanics and esthetic strategies in clinical orthodontics.
        Fourth edition. Elsevier, Oxford2005: 94-109
        • Isiekwe G.
        • Onigbogi O.
        • Olatosi O.
        • Sofola O.
        Oral health quality of life in a Nigerian university undergraduate population.
        J West Afr Coll Surg. 2014; 4: 54-74
        • Jung M.H.
        Evaluation of the effects of malocclusion and orthodontic treatment on self-esteem in an adolescent population.
        Am J Orthod Dentofacial Orthop. 2010; 138: 160-166https://doi.org/10.1016/j.ajodo.2008.08.040
        • Vegter F.
        • Hage J.J.
        Clinical anthropometry and canons of the face in historical perspective.
        Plast Reconstr Surg. 2000; 106: 1090-1096
        • Thomas G.R.
        An evaluation of the soft tissue facial profile in the North American black woman.
        Am J Orthod. 1979; 76: 84-95https://doi.org/10.1016/0002-9416(79)90302-6
        • Miyajima K.
        • Mcnamara J.A.
        • Kimura T.
        • Murata S.
        • Iizuka T.
        Craniofacial structure of Japanese and European American adults with normal occlusions and well balanced faces.
        Am J Orthod Dentofacial Orthop. 1996; 110: 431-438
        • Turkkahraman H.
        • Gokalp H.
        Facial profile preferences among various layers of Turkish population.
        Angle Orthod. 2004; 74: 640-647https://doi.org/10.1043/0003-3219(2004)074<0640:FPPAVL>2.0.CO;2
        • Anic-Milosevic S.
        • Lapter-Varga M.
        • Slaj M.
        Analysis of the soft tissue facial profile by means of angular measurements.
        Eur J Orthod. 2008; 30: 135-140
        • Peck S.
        • Peck L.
        Selected aspects of the art and science of facial esthetics.
        Semin Orthod. 1995; 1: 105-126
        • Matoula S.
        • Pancherz H.
        Skeletofacial morphology of attractive and nonattractive faces.
        Angle Orthod. 2006; 76: 204-210https://doi.org/10.1043/0003-3219(2006)076[0204:SMOAAN]2.0.CO;2
        • Langlois J.H.
        • Ritter J.M.
        • Roggman L.A.
        • Vaughn L.S.
        Facial diversity and infants preferences for attractive faces.
        Develop Psychol. 1991; 27: 79-84
        • Langlois J.L.
        • Roggman L.A.
        • Musselman L.
        What is average and what is not average about attractive faces.
        Psychol Sci. 1994; 5: 214-220
        • Anic-Milosevic S.
        • Mestrovic S.
        • Prlic A.
        • Slaj M.
        Proportions in the upper lip lower lip chin area of the lower face as determined by photogrammetric method.
        J Craniomaxillofac Surg. 2010; 38: 90-95https://doi.org/10.1016/j.jcms.2009.03.013
        • Muretic Z.
        • Lapter-Varga M.
        New parameters for roentgen cephalometric analysis Zagreb 82.
        Acta Stomatol Croat. 2004; 38: 163-172
        • Cunningham S.J.
        • Garratt A.M.
        • Hunt N.P.
        Development of a condition-specific quality of life measure for patients with dentofacial deformity II. Validity and responsiveness testing.
        Community Dent Oral Epidemiol. 2002; 30: 81-90
        • Pavlic A.
        • Trinajstic Zrinski M.
        • Katic V.
        • Spalj S.
        Neoclassical canons of facial beauty: do we see the deviations?.
        J Craniomaxillofac Surg. 2017; 45: 741-747https://doi.org/10.1016/j.jcms.2017.01.029
        • Phillipps C.
        • Griffin T.
        • Bennett E.
        Perception of facial attractiveness by patients, peers, and professionals.
        Int J Adult Orthodon Orthognath Surg. 1995; 10: 127-135
        • Cochrane S.M.
        • Cunningham S.J.
        • Hunt N.P.
        Perceptions of facial appearance by orthodontists and the general public.
        J Clin Orthod. 1997; 31: 164-168
        • Cochrane S.M.
        • Cunningham S.J.
        • Hunt N.P.
        A comparison of the perception of facial profile by the general public and three groups of clinicians.
        Int J Adult Orthodon Orthognath Surg. 1999; 14: 291-295
        • Bishara S.
        • Jakobsen J.
        Profile changes in patients treated with and without extractions: assessments by lay people.
        Am J Orthod Dentofacial Orthop. 1997; 112: 639-644
        • Cunningham S.J.
        • Barbee A.P.
        • Philhower C.L.
        Dimensions of facial physical attractiveness: the intersection of biology and culture.
        in: Rhodes G. Zebrowitz L.A. Facial attractiveness: evolutionary, cognitive and social perspective. Ablex, Westport2002: 1937238
        • Hobza C.
        • Walker K.
        • Yakushko O.
        • Peugh J.
        What about men? Social comparison and the effects of media images on body and self-esteem.
        Psychol Men Masc. 2007; 8: 161-172
        • Mees S.
        • Bellinga R.J.
        • Mommaerts M.Y.
        • De Pauw G.A.
        Preferences of AP position of the straight Caucasian facial profile.
        J Craniomaxillofac Surg. 2013; 8: 180-187https://doi.org/10.1016/j.jcms.2013.01.014
        • Czarnecki S.
        • Nanda R.
        • Currier G.
        Perceptions of a balanced facial profile.
        Am J Orthod Dentofacial Orthop. 1993; 104: 180-187https://doi.org/10.1016/S0889-5406(05)81008-X
        • Wang Y.
        • Lei Y.H.
        • Yue L.
        • Peng Y.
        Significance of young females different vertical facial types on the esthetic evaluation of facial profiles.
        J Clin Rehab Tissue Eng Res. 2014; 18: 4611-4617
        • Paul R.K.
        • Raju A.S.
        • Sunil P.C.
        • Mamatha J.
        • Elbin T.M.
        • Emmanuel J.
        Facial attractiveness: an orthodontic prospective.
        Sch J Dent Sci. 2015; 2: 119-121
        • Dion K.
        • Berscheid E.
        • Walster E.
        What is beautiful is good.
        J Pers Soc Psychol. 1972; 24: 285-290
        • Scott C.
        • Goonewardene M.
        • Murray K.
        Influence of lips on the perception of malocclusion.
        Am J Orthod Dentofacial Orthop. 2006; 130: 152-156https://doi.org/10.1016/j.ajodo.2004.11.036
        • Macias Gago A.B.
        • Romero Maroto M.
        • Crego A.
        The perception of facial aesthetics in a young Spanish population.
        Eur J Orthod. 2011; 34: 335-339https://doi.org/10.1093/ejo/cjr014
        • Erbay E.F.
        • Caniklioglu C.M.
        Soft tissue profile in Anatolian Turkish adults: part II. Comparison of different soft tissue analyses in the evaluation of beauty.
        Am J Orthod Dentofacial Orthop. 2002; 121: 65-72
        • Zebrowitz L.
        • Montepare J.
        Social psychological face perception: why appearance matters.
        Soc Personal Psychol Compass. 2008; 2: 1497https://doi.org/10.1111/j.1751-9004.2008.00109.x